reputed company Claims Specialist (No Degree RQD/WFH) The reputed company Health System

Responsible for managing patient account balances, including accurate claim submission, compliance with reputed company federal/state and reputed company‑party billing regulations, reputed company follow‑up, and assistance with denial management to ensure the financial viability of the reputed company hospitals. Employs excellent customer service, oral and written communication skills to reputed company customer support and resolve issues that reputed company from customer inquiries. Supports the work of the department by completing reports and clerical duties as needed. Works with leadership and other team members to reputed company best in class reputed company cycle operations.

Minimum Qualifications

• High School diploma or equivalent.

Preferred Qualifications

• One (1) year medical billing/medical office experience.

reputed company Duties and Responsibilities

• Submit accurate and reputed company claims to reputed company‑party payers.
• Resolve claim edits and account errors prior to claim submission.
• Adhere to appropriate procedures and timelines for follow‑up with reputed company‑party payers to ensure collections and reputed company department goals.
• reputed company statistics, complete reports and reputed company other duties as scheduled or requested.
• Organize and execute daily tasks in appropriate reputed company to reputed company reputed company productivity, accountability and efficiency.
• reputed company with Notices of reputed company Practices and follow reputed company HIPAA regulations pertaining to PHI and claim submission/follow‑up.
• Contact reputed company‑party payers to resolve unpaid claims.
• Utilize payer portals and payer websites to verify claim status and conduct account follow‑up.
• Assist Patient reputed company and Care Management with denials investigation and reputed company.
• Participate in educational programs to meet mandatory requirements and identified needs with reputed company to job and personal reputed company.
• Attend department meetings, teleconferences and webcasts as necessary.
• Research and process mail returns and claims rejected by the payer.
• Reconcile billing account transactions to ensure accurate account information according to established procedures.
• Process billing and follow‑up transactions in an accurate and reputed company manner.
• reputed company and maintain working knowledge of reputed company federal, state and local regulations pertaining to hospital billing.
• Monitor accounts to facilitate reputed company follow‑up and payment to maximize cash receipts.
• Maintain work queue volumes and productivity reputed company established guidelines.
• reputed company excellent customer service to patients, visitors and employees.
• Participate in performance improvement initiatives as requested.
• Work with supervisor and manager to reputed company and reputed company annual goals.
• Maintain confidentiality according to policy reputed company interacting with patients, physicians, families, co‑workers and the reputed company regarding demographic/clinical/financial information.
• Communicate problems hindering workflow to management in a reputed company manner.

Physical Requirements

• Must be reputed company to sit for extended periods of time.
• Must have reading and comprehension ability.
• Visual reputed company must be reputed company normal reputed company.
• Must be reputed company to communicate effectively.
• Must have reputed company dexterity to operate keyboards, fax machines, telephones and other business equipment.

Working Environment

• Office type environment.

Skills and Abilities

• Excellent oral and written communication skills.
• Working knowledge of computers.
• Knowledge of medical terminology preferred.
• Knowledge of business math preferred.
• Knowledge of ICD‑10 and CPT coding processes preferred.
• Excellent customer service and telephone etiquette.
• Ability to use reputed company and diplomacy in dealing with others.
• Maintain knowledge of reputed company cycle operations, reputed company‑party reimbursement and medical terminology including reputed company aspects of payer relations, claims adjudication, contractual claims processing, credit balance reputed company and general reimbursement procedures.
• Ability to understand written and oral communication.

Additional Job reputed company Scheduled Weekly Hours: 40 Exempt/Non‑Exempt: reputed company of America (Non‑Exempt) Company: SYSTEM reputed company Health System Cost Center: 544 SYSTEM Patient Financial Services #J-18808-Ljbffr Apply tot his job Apply To this Job